 Meeting & Courses
USE OF THE BILBOQUET IN COMPLEX PROXIMAL HUMERAL FRACTURES
 Treatment of complex displaced fractures of the proximal humerus is challenging. Management of a comminuted fracture in poor quality bone with a conventional fixation device is difficult,13 not to mention the potential risk of post-traumatic necrosis of the humeral head,10 nonunion or malunion of the tuberosities.2 In such situations, Neer advocated the use of hemiarthroplasty11. But what was a success in Neer's hands was not in others' hands and many surgeons were disappointed by a high rate of ...
G. Griffet, J. Berhouet, Ch. Le Du, Luc Favard
Techniques
DEEPENING TROCHLEOPLASTY FOR TREATMENT OF RECURRENT DISLOCATION OF THE PATELLA : INDICATIONS, SURGICAL TECHNIQUE, RESULTS
 By nature, the patellofemoral joint has low congruity. Passive stability is provided both by the bony structures (congruity between the patella and the trochlear groove) and by the medial and lateral ligaments. Active stability depends on correct tension of the quadriceps muscles on the one hand, and on passive medial-lateral soft-tissue balance on the other hand. The patella needs both passive and active stability to transmit the quadriceps muscle force during flexion and extension movements, whether ...
D. Dejour
Focus
CLINICAL EXAMINATION OF THE SHOULDER IN DISORDERS OF THE ROTATOR CUFF
 Disorders of the rotator cuff are the main source of pain in the shoulder and despite recent progress in shoulder imaging, clinical examination remains a fundamental stage in evaluating pain in the region of the scapula. The rotator cuff of the shoulder consists of the tendons of insertion of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles in the humerus, combined with the intra articular portion along the biceps. In this article, we will deal with lesions which are part ...
Ch. Dumontier, L. Doursounian
Techniques
PALLIATIVE TREATMENT FOR PARALYSIS OF INTRINSIC MUSCLES OF THE FINGERS
 Paralyses of the intrinsic muscles of the fingers are the result of nerve damage, infectious nerve diseases (leprosy, polio) or degenerative diseases affecting at least the ulnar nerve. These paralyses cause deformity of the fingers and functional disability due to imbalance between the intrinsic and extrinsic muscle apparatus of the fingers. The deformity is a clawing of the fingers which is typically seen during active extension of the fingers with hyperextension of the first phalanx because the ...
Ph. Bellemere 1.2, F. Chaise 1.2.3, B. Chabaud 2.4.
Techniques
MANAGING PARALYSIS OF INTRINSIC MUSCLES OF THE THUMB
 Paralysis of the intrinsic muscles of the thumb will change the opposition function which is the result of a movement made up of three components: extension, adduction and pronation. The full movement of opposition is only possible if all the local anatomic structures are functional. A thumb with paralysis of the intrinsic muscles will be dependent on the extrinsic muscles which will progressively lead to major functional imbalance with the final result being a thumb stiffened in adduction and ...
F. Chaise 1.2.3, Ph. Bellemere 1.2, B. Chabaud 3.4.
Techniques
RECONSTRUCTIVE SURGERY IN DIFFICULT CIRCUMSTANCES – COVERAGE OF THE KNEE
 Soft tissue defect of the knee is something which is frequently observed in orthopaedic surgery and traumatology. The present article proposes a number of simple but reliable techniques for covering a loss of soft tissue in this region of the anatomy. In addition, these techniques are adapted to surgical management in hazardous conditions i.e. when the working environment is difficult or even precarious such as at some medical centres in developing countries or in some small French hospitals during ...
Patrick Knipper
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